HomeMy WebLinkAboutBldg Permit 02-0317
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvDe or DriDr: and sia ae bottom)
ADDRESS
~~~4
'-" .
I. whlI, File
2. Pink Cicy
J. Yellow AppliCD.c
&reM) !fe/4hts r~ svJ
V
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
5'( of'+- 5'rv IV n()~V
~ g,3Y Gran MJ':JY\ts <f'r.
BUILDER lI.r /) 1_
(Name) 1\ ('1 ~ Yro~ KoU n Y\1
(Contact Name) C\r)('( ") t, Y\ e. r)P u rf-0Y'\
(Address) c1 S-i~ I a '-J th fhl D ~{~., fJtp b
(Address)
TYPE OF WORK
o Mise,
o New Constnlcnon
CLOSE FILE
J he:reby ~rtify tha 10/28/03 MP
authorized agent fo
submitted plans, I
enteruP~~~".;:::.pn~ n~.~ c1! spepe~crln niS.
X --b/U~./4-A. 7~d
. Si~Wu
Pennit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Pennit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~e::oO .00
$ 1 iI. '?S
s
$ I" ;;5'
s
$
$
S
S
T>j'7yfJ/.'-'P:~;:
Building Offidal Date
Date Rec' d
~-3-62-
potflSI sf
r'IJNWTNO.02-03./7
ZONING (officrusc:)
1<-/5D
PlDZS-094- OC{g-O
(Phone) -9G~ -IfRLf-hflhg
(phone) 1clJ -7d.~-C8~5
(Phone)
CS'i00
ODee:k
OPorch
#
#
#
#
.a- ~ -I-o~
Date
$
$
S
S
S
S
S
$
S 7" _ 00
-
Recei~S4-
Bv /"'.;
/
Tbi$ Is 10 cmify that the R:quc:st in the above appliCiltion and accompanying documents is in accordance with the City Zoning Ordirutncc: and may proc:eed as requested. This 40cumenf
when signed by the City Planner cDn.uinlll:s a femJlOBl1l Cenificare of Zoning compliance and aUows construction to commence. Before occupancy I a Catificare or Occupancy mUSI be
imled.
Planning Director
100 III
ARe.rwofina DRe-Sidina---
DAlteration DUtility Connec:lion
CJlo5loCf2.
,
h is to the best of my knowledge rrue and ~v.. ...... I also mUff chat 1 am the: owner or
111 will conform to all existing state and loc:allaws and will proceed in accordance with
_ -.-. r~11IIit (or jwt cause. Furthermore, I hereby agree that the city official or a desi811ce may
~?:l'l
CODlnctor's Llc:mse No.
replace
DAddicion
Dale Special Conditions. If any
14 hour noUce for all inspedlons (952) 447..9850, fax (952) 447....245
3XV1 HOIHd dO XlI)' "-'StZtLttZ19 YVd 01:01 NOH ZO/10/tO
COSTIVALUE (exdudinglaftd) S
I Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee:
Builder's Deposit
I Other
I TOTAL DUE
Paid
Date
I (I). tJO
<4,;~ - i~Z-